Several Months Of Vaginal in Obstetrics & Gynecology — 80yo Woman | General Gynecology | SMLE Q#18335
SMLE Question #18335
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
An 80-year-old woman presents with several months of vaginal pressure and a bulge sensation, urinary leakage with exertion, and severe constipation. She reports needing to insert a finger into the vagina to reduce the bulge to pass stool. She denies fever, dysuria, and rectal bleeding. Pelvic examination shows pelvic organ prolapse with a posterior vaginal wall bulge. She has significant comorbidities and is considered high risk for anaesthesia and reconstructive surgery. What is the most appropriate management?
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